The Role of Chatbots in Enhancing Health Care for Older Adults: A Scoping Review

Article

Zhang, Qian, Wong, Arkers Kwan Ching and Bayuo, Jonathan. 2024. "The Role of Chatbots in Enhancing Health Care for Older Adults: A Scoping Review." Journal of the American Medical Directors Association (JAMDA): long-term care: management, applied research and clinical issues. 25 (9). https://doi.org/10.1016/j.jamda.2024.105108
Article Title

The Role of Chatbots in Enhancing Health Care for Older Adults: A Scoping Review

ERA Journal ID124464
Article CategoryArticle
AuthorsZhang, Qian, Wong, Arkers Kwan Ching and Bayuo, Jonathan
Journal TitleJournal of the American Medical Directors Association (JAMDA): long-term care: management, applied research and clinical issues
Journal Citation25 (9)
Article Number105108
Number of Pages10
Year2024
PublisherElsevier
Place of PublicationUnited States
ISSN1525-8610
1538-9375
Digital Object Identifier (DOI)https://doi.org/10.1016/j.jamda.2024.105108
Web Address (URL)https://www.sciencedirect.com/science/article/abs/pii/S1525861024005309
Abstract

Objectives
This scoping review aimed to review the characteristics, applications, evaluation approaches, and challenges regarding the use of chatbots in older adults.

Design
The scoping review followed the methodological framework by Arksey and O'Malley, with revisions proposed by Levac et al. The findings were reported using the Preferred Reporting Items for Systematic Review and Meta-Analysis Extension for Scoping Reviews checklist.

Setting and Participants
The reviewed articles primarily focused on older adults, with research conducted in both clinical and nonclinical settings.

Methods
Studies published from January 2010 to May 2023 were searched through 8 databases. A total of 29 studies were identified and evaluated in this review.

Results
Results showed that the chatbots were mainly delivered via mobile applications (n = 11), most of them used text as input (n = 16) and output modality (n = 13), and most of them targeted at improving the overall well-being of the older adults (n = 9); most chatbots were designed for fulfilling complex health care needs (n = 7) and health information collection (n = 6). Evaluation approaches of chatbots captured in this review were divided into technical performance, user acceptability, and effectiveness; challenges of applying chatbots to older adults lie in the design of the chatbot, user perception, and operational difficulties.

Conclusions and Implications
The use of chatbots in the field of older adults is still emerging, with a lack of specifically designed options for older users. Data about the health impact of chatbots as alternative interventions were still limited. More standardized evaluation criteria and robust controlled experiments are needed for further research regarding the effectiveness of chatbots in older adults.

KeywordsChatbots; conversational agents; older adult healthcare; scoping review
Contains Sensitive ContentDoes not contain sensitive content
ANZSRC Field of Research 2020420319. Primary health care
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Byline AffiliationsHong Kong Polytechnic University, China
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Global epidemiology of geriatric burns, capacities of care, and injury outcomes: Perspectives from the World Health Organization global burn registry
Bayuo, Jonathan, Agbeko, Anita Eseenam, Wong, Arkers Kwan Ching, Wong, Frances Kam Yuet, Baafi, Elisha Oduro, Baffour, Prince Kyei, Naw, Hser Eh and Agbenorku, Pius. 2023. "Global epidemiology of geriatric burns, capacities of care, and injury outcomes: Perspectives from the World Health Organization global burn registry." Burns. 49 (8), pp. 1796-1807. https://doi.org/10.1016/j.burns.2023.09.020
Technology: A metaparadigm concept of nursing
Bayuo, J., Abu‐Odah, Hammoda, Su, Jing Jing and Aziato, Lydia. 2023. "Technology: A metaparadigm concept of nursing." Nursing Inquiry. 30 (4), pp. 1-10. https://doi.org/10.1111/nin.12592
Components, Models of Integration, and Outcomes Associated with Palliative/ end-of-Life Care Interventions in the Burn Unit: A Scoping Review
Bayuo, Jonathan, Abu-Odah, Hammoda and Koduah, Adwoa Owusuaa. 2023. "Components, Models of Integration, and Outcomes Associated with Palliative/ end-of-Life Care Interventions in the Burn Unit: A Scoping Review." Journal of Palliative Care. 38 (2), pp. 239-253. https://doi.org/10.1177/08258597221102735
A meta-synthesis of the transitioning experiences and career progression of migrant African nurses
Bayuo, Jonathan, Abboah‑Offei, Mary, Duodu, Precious Adade and Salifu, Yakubu. 2023. "A meta-synthesis of the transitioning experiences and career progression of migrant African nurses." BMC Nursing. 22 (1), pp. 1-20. https://doi.org/10.1186/s12912-023-01273-1
Effect of a Mobile Health Application With Nurse Support on Quality of Life Among Community-Dwelling Older Adults in Hong Kong: A Randomized Clinical Trial
Wong, Arkers Kwan Ching, Wong, Frances Kam Yuet, Chow, Karen Kit Sum, Wong, Siu Man, Bayuo, Jonathan, Ho, Annie Ka Ying and Bayuo, J.. 2022. "Effect of a Mobile Health Application With Nurse Support on Quality of Life Among Community-Dwelling Older Adults in Hong Kong: A Randomized Clinical Trial." JAMA Network Open. 5 (11), pp. e2241137-e2241137. https://doi.org/10.1001/jamanetworkopen.2022.41137
A randomized controlled trial of an mHealth application with nursing interaction to promote quality of life among community-dwelling older adults
Wong, Arkers Kwan Ching, Wong, Frances Kam Yuet, Bayuo, Jonathan, Chow, Karen Kit Sum, Wong, Siu Man, Lee, Athena Yin Lam and Bayuo, J.. 2022. "A randomized controlled trial of an mHealth application with nursing interaction to promote quality of life among community-dwelling older adults." Frontiers in Psychiatry. 13. https://doi.org/10.3389/fpsyt.2022.978416
Investigating predictors of self‐care behavior among homebound older adults: The role of self‐efficacy, eHealth literacy, and perceived social support
Wong, Arkers Kwan Ching, Bayuo, Jonathan and Wong, Frances Kam Yuet. 2022. "Investigating predictors of self‐care behavior among homebound older adults: The role of self‐efficacy, eHealth literacy, and perceived social support." Journal of Nursing Scholarship. 54 (3), pp. 278-285. https://doi.org/10.1111/jnu.12730
Trends in antenatal care visits and associated factors in Ghana from 2006 to 2018
Duodu, Precious Adade, Bayuo, J., Mensah, Josephine Aboagye, Aduse-Poku, Livingstone, Arthur-Holmes, Francis, Dzomeku, Veronica Millicent, Dey, Nutifafa Eugene Yaw, Agbadi, Pascal and Nutor, Jerry John. 2022. "Trends in antenatal care visits and associated factors in Ghana from 2006 to 2018." BMC Pregnancy & Childbirth. 22 (1), pp. 1-14. https://doi.org/10.1186/s12884-022-04404-9
Effects of a Nurse-Led Telehealth Self-care Promotion Program on the Quality of Life of Community-Dwelling Older Adults: Systematic Review and Meta-analysis
Ching Wong, Arkers Kwan, Bayuo, J., Yuet Wong, Frances Kam, Wing Shan, Yuen, Lam Lee, Athena Yin, Pui King, Chang and Jojo Tsz Chui, Lai. 2022. "Effects of a Nurse-Led Telehealth Self-care Promotion Program on the Quality of Life of Community-Dwelling Older Adults: Systematic Review and Meta-analysis." Journal of Medical Internet Research. 24 (3), pp. 124-140. https://doi.org/10.2196/31912
‘Becoming and overcoming’: A qualitative meta-synthesis of the experiences of men in nursing academia
Bayuo, J., Wong, Kwan Ching Arkers, Abu-Odah, Hammoda and Wong, Frances Kam Yuet. 2022. "‘Becoming and overcoming’: A qualitative meta-synthesis of the experiences of men in nursing academia." Journal of Professional Nursing. 43, pp. 83-106. https://doi.org/10.1016/j.profnurs.2022.07.022
Pattern and outcomes of medical malpractice cases in Ghana: a systematic content analysis
Bayuo, J. and Koduah, Adwoa O.. 2022. "Pattern and outcomes of medical malpractice cases in Ghana: a systematic content analysis." Ghana Medical Journal. 56 (4), pp. 322-330. https://doi.org/10.4314/gmj.v56i4.11
Exploring the Background, Context, and Stressors of Caregiving to Elderly Burned Patients: A Qualitative Inquiry
Bayuo, J., Aniteye, Patience, Richter, Solina and Agbenorku, Pius. 2022. "Exploring the Background, Context, and Stressors of Caregiving to Elderly Burned Patients: A Qualitative Inquiry." Journal of Burn Care & Research. 43 (1), pp. 196-201. https://doi.org/10.1093/jbcr/irab077
"Resuscitate and Push": End-of-Life Care Experiences of Healthcare Staff in the Emergency Department – A Hermeneutic Phenomenological Study
Bayuo, Jonathan, Anag, Emmanuel Kwadwo, Agyei, Frank Bediako, Salifu, Yakubu, Baffour, Prince Kyei and Poku, Collins Atta. 2022. ""Resuscitate and Push": End-of-Life Care Experiences of Healthcare Staff in the Emergency Department – A Hermeneutic Phenomenological Study." Journal of Palliative Care. 37 (4), pp. 494-502. https://doi.org/10.1177/08258597211050740
Compassion Fatigue in the Burn Unit: A Review of Quantitative Evidence
Bayuo, Jonathan and Agbenorku, Pius. 2022. "Compassion Fatigue in the Burn Unit: A Review of Quantitative Evidence." Journal of Burn Care and Research. 43 (4), pp. 957-964. https://doi.org/10.1093/jbcr/irab237
Palliative care interventions for adults in the emergency department: A review of components, delivery models, and outcomes
Bayuo, Jonathan, Agbeko, Anita Eseenam, Acheampong, Emmanuel, Abu-Odah, Hammoda and Davids, Jephtah. 2022. "Palliative care interventions for adults in the emergency department: A review of components, delivery models, and outcomes." Academic Emergency Medicine. 29 (11), pp. 1357-1378. https://doi.org/10.1111/acem.14508
Letter to the Editor on recommendations for burns care in mass casualty incidents: WHO emergency medical teams technical working group on burns (WHO TWGB) 2017–2020
Bayuo, Jonathan. 2022. "Letter to the Editor on recommendations for burns care in mass casualty incidents: WHO emergency medical teams technical working group on burns (WHO TWGB) 2017–2020 ." Burns. 48, pp. 731-732. https://doi.org/10.1016/j.burns.2021.11.026
An integrative review of the use of the concept of reassurance in clinical practice
Akyirem, Samuel, Salifu, Yakubu, Bayuo, Jonathan, Duodu, Precious Adade, Bossman, Irene Fosuhemaa and Abboah‑Offei, Mary. 2022. "An integrative review of the use of the concept of reassurance in clinical practice." Nursing Open. 9 (3), pp. 1515-1535. https://doi.org/10.1002/nop2.1102
Identifying barriers and facilitators of translating research evidence into clinical practice: A systematic review of reviews
Abu-Odah, Hammoda, Said, Nizar B., Nair, Satish Chandrasekha, Allsop, Matthew J., Currow, David C., Salah, Motasem Said, Hamad, Bassam Abu, Elessi, Khamis, Alkhatib, Ali, ElMokhallalati, Y., Bayuo, Yousuf and AlKhaldi, Mohammed. 2022. "Identifying barriers and facilitators of translating research evidence into clinical practice: A systematic review of reviews." Health and Social Care in the Community. 30 (6), pp. e3265-e3276. https://doi.org/10.1111/hsc.13898
Corrigendum to "A rapid review of the use of face mask in preventing the spread of COVID-19" [International Journal of Nursing Studies Advances 3 (2021) 100013
Abboah‑Offei, Mary, Salifu, Yakubu, Adewale, Bisi, Bayuo, Jonathan, Ofosu-Poku, Rasheed and Opare-Lokko, Edwina Beryl Addo. 2022. "Corrigendum to "A rapid review of the use of face mask in preventing the spread of COVID-19" [International Journal of Nursing Studies Advances 3 (2021) 100013." International Journal of Nursing Studies Advances. 4 (1). https://doi.org/10.1016/j.ijnsa.2022.100093
Effects of a nurse-led transitional burns rehabilitation programme (4Cs-TBuRP) for adult burn survivors: protocol for a randomised controlled trial
Bayuo, J., Wong, Frances Kam Yuet and Chung, Loretta Yuet Foon. 2021. "Effects of a nurse-led transitional burns rehabilitation programme (4Cs-TBuRP) for adult burn survivors: protocol for a randomised controlled trial." Trials. 22 (1), pp. 1-15. https://doi.org/10.1186/s13063-021-05679-7
Intervention Content and Outcomes of Postdischarge Rehabilitation Programs for Adults Surviving Major Burns: A Systematic Scoping Review
Bayuo, J. and Wong, Frances Kam Yuet. 2021. "Intervention Content and Outcomes of Postdischarge Rehabilitation Programs for Adults Surviving Major Burns: A Systematic Scoping Review." Journal of Burn Care & Research. 42 (4), pp. 651-710. https://doi.org/10.1093/jbcr/iraa110
Issues and concerns of family members of burn patients: A scoping review
Bayuo, J. and Wong, Frances Kam Yuet. 2021. "Issues and concerns of family members of burn patients: A scoping review." Burns (03054179). 47 (3), pp. 503-524. https://doi.org/10.1016/j.burns.2020.04.023
“Hanging in a balance”: A qualitative study exploring clinicians’ experiences of providing care at the end of life in the burn unit
Bayuo, J., Bristowe, Katherine, Harding, Richard, Agbeko, Anita Eseenam, Wong, Frances Kam Yuet, Agyei, Frank Bediako, Allotey, Gabriel, Baffour, Prince Kyei, Agbenorku, Pius, Hoyte-Williams, Paa Ekow and Agambire, Ramatu. 2021. "“Hanging in a balance”: A qualitative study exploring clinicians’ experiences of providing care at the end of life in the burn unit." Palliative Medicine. 35 (2), pp. 417-425. https://doi.org/10.1177/0269216320972289
"Managing uncertainty": Experiences of family members of burn patients from injury occurrence to the end-of-life period
Bayuo, J., Bristowe, Katherine, Harding, Richard, Agbeko, Anita Eseenam, Baffour, Prince Kyei, Agyei, Frank Bediako, Wong, Frances Kam Yuet, Allotey, Gabriel, Agbenorku, Pius and Hoyte-Williams, Paa Ekow. 2021. ""Managing uncertainty": Experiences of family members of burn patients from injury occurrence to the end-of-life period." Burns (03054179). 47 (7), pp. 1647-1655. https://doi.org/10.1016/j.burns.2021.02.009
"Surviving to thriving": a meta-ethnography of the experiences of healthcare staff caring for persons with COVID-19
Agyei, Frank Bediako, Bayuo, Jonathan, Baffour, Prince Kyei and Laari, Cletus. 2021. ""Surviving to thriving": a meta-ethnography of the experiences of healthcare staff caring for persons with COVID-19 ." BMC Health Services Research. 21 (1). https://doi.org/10.1186/s12913-021-07112-w
A rapid review of the use of face mask in preventing the spread of COVID-19
Abboah‑Offei, Mary, Salifu, Yakubu, Adewale, Bisi, Bayuo, Jonathan, Ofosu-Poku, Rasheed and Opare-Lokko, Edwina Beryl Addo. 2021. "A rapid review of the use of face mask in preventing the spread of COVID-19." International Journal of Nursing Studies Advances. 3 (1). https://doi.org/10.1016/j.ijnsa.2020.100013
"On the Recovery Journey:" An Integrative Review of the Needs of Burn Patients From Immediate Pre‐Discharge to Post‐Discharge Period Using the Omaha System
Bayuo, J., Wong, Frances Kam Yuet and Agyei, Frank Bediako. 2020. ""On the Recovery Journey:" An Integrative Review of the Needs of Burn Patients From Immediate Pre‐Discharge to Post‐Discharge Period Using the Omaha System." Journal of Nursing Scholarship. 52 (4), pp. 360-368. https://doi.org/10.1111/jnu.12563
The role of palliative care in burns: A scoping review
Bayuo, J., Bristowe, Katherine, Harding, Richard, Agyei, Frank Bediako, Agbeko, Anita Eseenam, Agbenorku, Pius, Baffour, Prince Kyei, Allotey, Gabriel and Hoyte-Williams, Paa Ekow. 2020. "The role of palliative care in burns: A scoping review." Journal of Pain and Symptom Management. 59 (5), pp. 1089-1108. https://doi.org/10.1016/j.jpainsymman.2019.11.006
Seeking healthcare at their 'right' time; the iterative decision process for women with breast cancer
Agbeko, Anita Eseenam, Arthur, Joshua, Bayuo, Jonathan, Kaburi, Basil Benduri and Kyei, Ishmael. 2020. "Seeking healthcare at their 'right' time; the iterative decision process for women with breast cancer." BMC Cancer. 20 (1). https://doi.org/10.1186/s12885-020-07520-x
Developing support strategies for burn care nurses through an understanding of their experiences: A meta‐ethnographic study
Bayuo, Jonathan, Agyei, Frank Agyei, Allotey, Gabriel and Baffour, Prince Kyei. 2019. "Developing support strategies for burn care nurses through an understanding of their experiences: A meta‐ethnographic study." International Journal of Nursing Practice. 25 (2). https://doi.org/10.1111/ijn.12685
Epidemiology and outcome of suspected inhalational burn injury in a Ghanaian tertiary hospital
Agbenorku, Pius, Agbenorku, Manolo, Bayuo, Jonathan and Asare, Nana Yaa Odamea. 2019. "Epidemiology and outcome of suspected inhalational burn injury in a Ghanaian tertiary hospital." Burns Open. 3 (2), pp. 45-50. https://doi.org/10.1016/j.burnso.2019.02.001
Burns in the middle belt of Ghana: A systematic review
Bayuo, Jonathan, Agyei, Frank Bediako and Baffour, Prince Kyei. 2018. "Burns in the middle belt of Ghana: A systematic review." Burns Open. 2 (2), pp. 85-89. https://doi.org/10.1016/j.burnso.2018.02.001
Epidemiology and outcomes of burn injury among older adults in a Ghanaian tertiary hospital
Bayuo, Jonathan, Agbenorku, Pius, Amankwa, Richcane and Agbenorku, Manolo. 2018. "Epidemiology and outcomes of burn injury among older adults in a Ghanaian tertiary hospital." Burns Open. 2 (2), pp. 98-103. https://doi.org/10.1016/j.burnso.2017.12.003
Coping strategies among nurses in the Burn Intensive Care Unit: A qualitative study
Bayuo, Jonathan and Agbenorku, Pius. 2018. "Coping strategies among nurses in the Burn Intensive Care Unit: A qualitative study." Burns Open. 2 (1), pp. 47-52. https://doi.org/10.1016/j.burnso.2017.10.004
"The Last Bath": A Reflexive Ethnography of Caring for a Prisoner-Patient
Bayuo, Jonathan. 2018. ""The Last Bath": A Reflexive Ethnography of Caring for a Prisoner-Patient." International Journal for Human Caring. 22 (1), pp. 56-61. https://doi.org/10.20467/1091-5710.22.1.pg21
Burn injury in epileptics: The trend and risk factors in the middle belt of Ghana
Agbenorku, Pius, Adamu Bukari, Abdul-Rahman, Effah, Angelina Tima, Agbenorku, Manolo, Asare, Nana Yaa Odamea and Bayuo, Jonathan. 2018. "Burn injury in epileptics: The trend and risk factors in the middle belt of Ghana." Burns Open. 2 (3), pp. 122-125. https://doi.org/10.1016/j.burnso.2018.05.001
Assessment and management of burn pain at the Komfo Anokye Teaching Hospital: a best practice implementation project
Bayuo, J., Munn, Zachary and Campbell, Jared. 2017. "Assessment and management of burn pain at the Komfo Anokye Teaching Hospital: a best practice implementation project." The JBI Database of Systematic Reviews and Implementation Reports. 15 (9), pp. 2398-2418. https://doi.org/10.11124/JBISRIR-2016-003272
Burns among older persons: A narrative review
Bayuo, Jonathan and Botchway, Anita Esi. 2017. "Burns among older persons: A narrative review." Burns Open. 1 (1), pp. 2-8. https://doi.org/10.1016/j.burnso.2017.05.006
A Reflection on the Theoretical Basis of the “A-Pie” Model of Clinical Education
Bayuo, J. and Amoah, Edward Obeng. 2017. "A Reflection on the Theoretical Basis of the “A-Pie” Model of Clinical Education." International Journal for Human Caring. 21 (3), pp. 134-136. https://doi.org/10.20467/1091-5710.21.3.134
Experiences with out-patient hospital service utilisation among older persons in the Asante Akyem North District- Ghana
Bayuo, Jonathan. 2017. "Experiences with out-patient hospital service utilisation among older persons in the Asante Akyem North District- Ghana." BMC Health Services Research. 17. https://doi.org/10.1186/s12913-017-2604-6
"Worlds apart": the case of evidence utilization in Ghanaian health facilities
Bayuo, Jonathan. 2017. ""Worlds apart": the case of evidence utilization in Ghanaian health facilities." The JBI Database of Systematic Reviews and Implementation Reports. 15 (9), pp. 2225-2226. https://doi.org/10.11124/JBISRIR-2017-003554
Management strategies of burns associated hyperthermia: A case report
Bayuo, Jonathan. 2017. "Management strategies of burns associated hyperthermia: A case report." Burns Open. 1 (1), pp. 45-47. https://doi.org/10.1016/j.burnso.2017.05.011
Case Study in Caring Application of Watson’s Theory of Human Caring to End of Life Care in the Burns Intensive Care Unit: A Case Report
Bayuo, Jonathan. 2017. "Case Study in Caring Application of Watson’s Theory of Human Caring to End of Life Care in the Burns Intensive Care Unit: A Case Report." International Journal for Human Caring. 21 (3), pp. 142-144. https://doi.org/10.20467/1091-5710.21.3.142
Study on acute burn injury survivors and the associated issues
Bayuo, Jonathan, Agbenorku, Pius and Amankwa, Richcane. 2016. "Study on acute burn injury survivors and the associated issues." Journal of Acute Disease. 5 (3), pp. 206-209. https://doi.org/10.1016/j.joad.2016.03.006